Weiss Wellness & Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005425 Issued in IL

Legal business name

WEISS WELLNESS & CHIROPRACTIC, LTD.

Practice address

409 E Front St
Bloomington, IL 61701-5309

Phone

(309) 828-3415

Fax

(309) 828-2665

NPI assigned

Dec 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Beach, D.C.

Title

President

Phone

(309) 828-3415

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Joseph Griesbaum, D.C.

  • Chiropractor
  • Normal, IL
  • NPI 1336245091
  NPD
• Stephen Mark Weiss, D.C.

  • Chiropractor
  • Bloomington, IL
  • NPI 1407956626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1275954737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015309",
            "telephone_number": "309-828-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015309",
            "telephone_number": "309-828-3415",
            "fax_number": "309-828-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS WELLNESS & CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-828-3415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005425",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038005425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lyn Weed, APN
• Sheyanne Weed
• Elizabeth L Weinzierl
• Barbara Luann Weis, FNP BC
• Weiss Chiropractic Center
• Stephen Mark Weiss, D.C.
• Shari Joy Weitekamp, MA, CCC-SLP L
• Kassidy Weller, OTR/L
• Richard W Wellman, MD
• Wellness Data Solutions LLC

• Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.